<html>
    <head></head>
    <body>
<form method="post" action="<?php echo MANAGE_ACCOUNT_ACTION;?>">
    <input type="hidden" value="<?php echo $data['page']['csrf_token'];?>" name="csrf_token">
    <input type="hidden" value="<?php echo $data['page']['id'];?>" name="user_id">
        <fieldset id="username">
                <label for="user_name"><?php echo ENTER_YOUR_NEW_USER_NAME;?></label>
               	<input name="user_name" id="user_name" type="email" required value="<?php echo $data['page']['user_name'];?>">
        </fieldset>
        <fieldset id="email">
                <label for="user_email"><?php echo ENTER_YOUR_NEW_EMAIL;?></label>
               	<input name="user_email" id="user_email" type="email" required value="<?php echo $data['page']['user_email'];?>">
        </fieldset>
        <fieldset id="password">
        		<label for="user_password"><?php echo ENTER_YOUR_NEW_PASSWORD;?></label>
        		<input name="user_password" id="user_password" type="password" required>
        </fieldset>
        <fieldset id="retype_password">
        		<label for="retype_user_password"><?php echo RETYPE_YOUR_NEW_PASSWORD;?></label>
        		<input name="retype_user_password" id="reenter_user_password" type="password" required>
        </fieldset>
        <input type="submit" value="<?php echo SUBMIT_MANAGE_ACCOUNT_DATA;?>" />
</form>
    </body>
</html>
